肺栓塞作为 IgA 血管炎的首发表现。
Pulmonary embolism as the primary presentation of IgA vasculitis.
机构信息
Department of Medicine, Michigan State University, East Lansing, Michigan, USA
Department of Medicine, Sparrow Health System, Lansing, Michigan, USA.
出版信息
BMJ Case Rep. 2020 Aug 27;13(8):e235884. doi: 10.1136/bcr-2020-235884.
Abstract
A 47-year-old man presented to the emergency department with acute onset of dyspnoea and a week history of painful erythematous rash on both of his legs. CT angiogram of the chest showed saddle pulmonary embolism resulting in right ventricular strain and obstructive shock. Due to the atypical nature of his skin rash, a skin biopsy from one of these lesions was done and came consistent with the diagnosis of IgA vasculitis.
摘要
一位 47 岁男性因突发呼吸困难和双下肢疼痛性红斑一周而到急诊科就诊。胸部 CT 血管造影显示鞍状肺栓塞导致右心室劳损和阻塞性休克。由于他的皮疹性质不典型，对其中一处皮损进行了皮肤活检，结果与 IgA 血管炎的诊断一致。
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